Transducer holder

ABSTRACT

System, methods and apparatus are provided for securing one or more transducers to a patient. According to one illustrative embodiment, a transducer holder is provided that includes a base, one or more fasteners for securing one or more transducers, respectively, at least one strap attached to the base for securing the base to the patient, wherein at least two of the fasteners have a different color from one another.

This application is a continuation-in-part of U.S. patent applicationSer. No. 10/821,337.

BACKGROUND OF THE INVENTION

Hemodynamic monitoring allows the clinician to have access toinformation that is not available from a standard assessment of thecardiovascular system. Parameters such as cardiac output (CO) andintracardiac pressures can be directly measured and monitored through anindwelling catheter connected to pressure monitoring equipment.Intracardiac pressures include, among others, pulmonary artery (PA)pressure, radial artery (RA) pressure, and pulmonary capillary wedgepressure (PCWP).

Hemodynamic monitoring systems include one or more indwelling catheters,each connected to a pressure transducer, a flush system, and a bedsidemonitor. For example, the PA catheter is a multilumen catheter insertedinto the pulmonary artery. The arterial catheter, or “A-line,” has onlyone lumen which is used to directly measure arterial blood pressure.Transducers are used to sense vascular pressure in the catheters. Apressure transducer is a small electronic sensor which converts amechanical pressure (i.e., vascular pressure) into an electrical signalwhich is displayed on the pressure amplifier or bedside monitor as acontinuous waveform with corresponding numerical displays ofmeasurement.

The transducer is typically housed in a plastic connector that alsoincludes a port for connection to an IV solution which is placed in apressure bag. This allows a slow, continuous infusion of fluid throughthe vascular catheter. For the transducer to work accurately, thetransducer generally must be leveled to the catheter tip. Leveling isthe process of aligning the tip of the vascular catheter horizontal to azero reference position using a stopcock in the pressure tubing close tothe transducer. The leveling location is the phlebostatic axis which islocated horizontal to the 4^(th) intercostal space at the midaxillaryline. This coincides most accurately with the atria of the heart.

There are two basic methods for leveling. When the transducer andstopcocks are mounted on a pole close to the bed, the pole height isadjusted to have the stopcock opening level with the catheter tip. Toensure horizontal positioning, a carpenter's level is typically used.The transducer is then “zeroed” to compensate for any distortion byusing the stopcock to expose the transducer to air and setting a zerobutton on the bedside monitor. Each time the bed height or patientposition is altered, this leveling procedure is repeated.

Another method for leveling places the transducer and stopcock at thedesired location on the chest wall or arm. Ordinary medical tape is usedto strap the transducer to the appropriate location on the body to helpeliminate the need for repeating the leveling procedure when bed heightsare changed. Medical tape, however, can be uncomfortable for thepatient, awkward for the caregiver to use, difficult to remove andreapply, can tend to become undone, and increases the likelihood thatthe caregiver will inaccurately locate the transducer, leading toinaccurate pressure readings.

SUMMARY OF THE INVENTION

System, methods and apparatus are provided for securing one or moretransducers to a patient. According to one illustrative embodiment, atransducer holder is provided that includes a base, one or morefasteners for securing one or more transducers, respectively, at leastone strap attached to the base for securing the base to the patient,wherein at least two of the fasteners have a different color from oneanother.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings, which are incorporated in and constitute apart of this specification, illustrate several embodiments of theinvention and together with the description, serve to explain theprinciples of the invention.

FIG. 1 shows a hemodynamic monitoring system utilizing a transducerholder in accordance with one illustrative embodiment;

FIG. 2 is a plan view along lines 2-2 of the transducer holder of FIG.1;

FIG. 3 is a cross-sectional view along lines 3-3 of the transducerholder of FIG. 2;

FIG. 4 is a perspective view of the transducer holder of FIGS. 1-3; and

FIG. 5 is a perspective view of a transducer holder in accordance withanother illustrative embodiment.

DETAILED DESCRIPTION

Reference will now be made in detail to several illustrative embodimentsof the present invention, examples of which are shown in theaccompanying drawings. Wherever possible, the same reference numberswill be used throughout the drawings to refer to the same or like parts.

An apparatus is provided for securing a catheter transducer. Inaccordance with one illustrative embodiment, the apparatus accuratelysecures the transducer at a desired location, e.g., the phlebostaticaxis (midchest), thereby reducing the likelihood of inaccuratemeasurements due to improper positioning of the transducer. Theapparatus further secures the transducer and pressure tubing to helpavoid accidental dislodgement of the catheter.

FIG. 1 shows a hemodynamic monitoring system for a patient utilizing atransducer holder 10 in accordance with one illustrative embodiment ofthe invention, with FIGS. 2-4 showing different views of the holder 10.The system includes a radial artery (RA) catheter 20 and a pulmonaryartery (PA) catheter 30 each connected via high-pressure tubing 40 to atransducer assembly 50 held in place by holder 10. Like transducerassemblies 50 are side by side in FIG. 1, thus, only the RA cathetertransducer assembly can be seen in FIG. 1. Cabling 60 connects eachtransducer assembly 50 to hemodynamic monitor 70. The monitor 70 can beused to display the vascular pressure of the patients pulmonary andradial arteries, respectively, sensed by a transducer 51 (FIG. 2)contained in each transducer assembly 50.

As shown in FIG. 1, the holder 10 ensures that the transducer assemblies50 (and transducers 51) are held at the correct horizontal location, inthis case axis 70, which corresponds to the 4^(th) intercostal space atthe midaxillary line.

FIG. 2 shows a plan view of the holder 10 and the manner in which theholder secures transducer assembly 50. (While there are two pressuretransducer assemblies in FIG. 1, one has been removed in FIG. 2 from theholder 10 to illustrate how the assembly 50 is removed.) Pressuretransducer 51 includes an electronic sensor to convert a vascularpressure from tubing 40 into an electric signal sent along cable 60 andconverted into a readable signal on monitor 70. The pressure transducer51 is held in a plastic enclosure 80 of the transducer assembly 50.

The catheter tubing 40 is connected to a stopcock 45 which connects thevascular tubing 40 to the transducer 51 to enable pressure sensing.Stopcock 45 closes off tubing 40 so as to be able to expose transducer51 to air (port 46), for the purpose of zeroing transducer 51. Port 55is provided for inserting a flush solution.

The transducer holder 10 includes fasteners, such as straps 72, 74 and76, for the purpose of securing transducer assemblies 50. Althoughstraps are used, any appropriate fastener, such as adhesives, clips,etc., may be used. Each strap is fixedly attached, for example viastitching 78, to a base 82 in a middle section of the strap to formstrap ends 90 and 95. Although the straps are shown mounted horizontallyacross the base 82, the straps (or any other type of fastener) can bemounted in any desired orientation, depending on the position of thepatient, procedure being used, etc. To facilitate placing the straps indifferent orientations and for ease of mounting and removal, the strapscould also be attached to the base via a hook and loop mating surfaces.

To assist the caregiver in mounting and removing transducer assemblies50, straps 72, 74, and 76 can be colored differently. For example, eachstrap can be colored red, blue, and yellow, respectively, to inform thecaregiver of the intracardiac pressure being sensed by each transducer.For example, the colors red, blue, and yellow are used in the industryto indicate arterial lines, central venous lines, and pulmonary lines,respectively. Accordingly, the straps can be colored red, blue, andyellow to inform the caregiver the pressure being sensed by the assemblysecured to the strap.

Plastic enclosure 80 of the transducer 50 includes openings 85 whichaccommodate strap ends 90 and 95. The base 82 is made of a rigid yetbendable material 108, e.g., a soft metal, surrounded by foam layers 112and 114 on either side. Alternatively, base can be formed of any clothmaterial by itself, without rigid material 108.

In the foregoing illustrative embodiment, the inner surface 84 of eachstrap 72, 74 and 76 includes a hook surface for mating with loop surface86 on the opposite side of the strap. Thus, as seen in FIG. 3, the hooksurface of strap end 90 overlaps loop surface of strap end 95 to securethe transducer, or vice versa.

The holder 10 also includes straps 100 and 102 (FIGS. 3 and 4) forsecuring the holder to a patient's arm or other body area. Straps 100and 102 include a loop surface 104 to which a hook connector 106attached to an end of the strap 100 can be used to secure the strap 100to strap 102, thereby securing the holder to the patient's limb.Alternatively, a single strap having a hook connector could wrap aroundthe patient's limb and reattach to the base 82.

The holder 10 accurately and securely locates the pressure transducersin a desired location and permits easy removal and reattachment ifnecessary. As shown in the foregoing figures, the transducer holder canaccommodate up to three transducers in the foregoing illustrativeembodiment, although, clearly, more or less can be used.

FIG. 5 shows another illustrative embodiment of a transducer holder 10.In this embodiment, straps 100 and 102 have been attached to wider sidesof base 82 such that transducer assembly 50 is oriented substantiallyperpendicular to the patient's arm when attached, as opposed tosubstantially parallel in the previous embodiment. Furthermore, fastenerstraps 72, 74, and 76 are reversed such that hook surface 84 is attachedto and faces base 82, and loop surface 86 faces away from base 82. Thus,as shown in FIG. 5, ends 90 and 95 reattach to loop surface of base 82after being threaded through openings 85 of transducer enclosure 80.This conveniently enables a caregiver to view the transducer. Becauseattaching the straps 72, 74, and 76 in this manner uses more space onthe surface of base 82, the straps are staggered with respect to oneanother to enable the ends of the straps to attach to the base.

Other embodiments of the invention will be apparent to those skilled inthe art from consideration of the specification and practice of theinvention disclosed herein. For example, instead of hook and loopfasteners, other fastening means could be used, such as adhesives,clips, etc., for both securing the transducer assembly, and forattaching the holder to the patient's limb. It is intended that thespecification and examples be considered as exemplary only, with a truescope and spirit of the invention being indicated by the followingclaims.

1. A transducer holder comprising: a base; two or more fasteners forsecuring one or more transducers to the base; and at least one strap forsecuring the base to the patient, wherein at least two of the two ormore fasteners have a different color from one another.
 2. Thetransducer holder according to claim 1, wherein the one or morefasteners include first and second ends, the first and second ends eachadapted to thread through an opening in a transducer assembly to securethe transducer.
 3. The transducer holder according to claim 2, whereinhook material on the first and second ends secure the transducer byattaching to the base.
 4. The transducer holder according to claim 3,wherein hook material on the first and second ends secure the transducerby attaching the first end to the second end.
 5. The transducer holderaccording to claim 1, wherein the at least one strap includes first andsecond straps adapted to secure the transducer holder to a patient'sarm.
 6. The transducer holder according to claim 5, wherein the firstand second straps secure the transducer holder by the first and secondstraps wrapping around the patient's arm and the first strap attachingto the second strap.
 7. The transducer holder according to claim 6,wherein the first strap includes a hook fastener for adhering to thesecond strap.
 8. The transducer holder according to claim 1, wherein thetwo or more straps include three straps, and the three straps arecolored blue, red, and yellow to indicate the pressure being sensed bythe transducer secured thereby.